Information Governance Standards in Relation to Third Party Suppliers and Contractors

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Information Governance Standards in Relation to Third Party Suppliers and Contractors"

Transcription

1 Information Governance Standards in Relation to Third Party Suppliers and Contractors Document Summary Ensure staff members are aware of the standards that should be in place when considering engaging with third party suppliers DOCUMENT NUMBER POL/002/068 DATE RATIFIED DATE IMPLEMENTED NEXT REVIEW DATE June 2017 ACCOUNTABLE DIRECTOR POLICY AUTHOR Director of Strategy and Support Services Information Governance Performance Manager Important Note: The Intranet version of this document is the only version that is maintained. Any printed copies should therefore be viewed as uncontrolled and, as such, may not necessarily contain the latest updates and amendments.

2 TABLE OF CONTENTS 1 SCOPE Introduction Statement of Intent Definitions Duties Details of the Policy Training Monitoring compliance with this policy References/ Bibliography Related Trust Policy/Procedures... 8 Appendix

3 1 SCOPE This Policy is intended for all staff members who would like guidance for Trust standards in relation to third party suppliers and their compliance levels and also details processes in relation to contractors working on behalf of the Trust in some guise. This Policy can also be used by any member of staff working for an organisation who has Information Governance provided by Cumbria Partnership NHS Foundations by way of a Service Level Agreement. Procedures will be added as appendices to this Policy as developments are made to ensure processes are detailed and can be easily followed to give protection to the Trust when dealing with suppliers in meeting contractual requirements. 2 INTRODUCTION The Trust is currently trying to ensure that all third party suppliers that are engaged by the organisation meet a minimum standard of compliance with information governance standards. This includes not only new third party suppliers but also striving to ensure as many existing third party suppliers are identified and checked against the same compliance criteria. 3 STATEMENT OF INTENT To ensure that third party suppliers meet a minimum standard of IG compliance To ensure appropriate agreements and contractual terms are in place with third party suppliers and contractors. To ensure the compliance with legislative and regulatory requirements to give assurance that appropriate safeguards are in place to protect the Trust s information. 4 DEFINITIONS Third Party Supplier: Contractor: IGT: DPA: ICO: Any organisation that provides services to the Trust Any individual or organisation that is involved in the business of the Trust. This can be a contractor/agency worker via the HR department or an organisation involved in a piece of work (e.g. charitable organisation providing support to a project) Information Governance Toolkit Data Protection Act Information Commissioner s Office Page 3 of 9

4 5 DUTIES Senior roles within the organisation supporting the Information Governance agenda are held by the Organisation s Senior Information Risk Owner (SIRO), the Caldicott Guardian, the Head of Information Governance; all are supported by the IG Team. 5.1 Trust Board In his communications with NHS Trusts Chief Executives, the NHS Chief Executive has made it clear that ultimate responsibility for IG in the NHS rests with the Board of each organisation. 5.2 Chief Executive The Trust s Accountable Officer is the Chief Executive who has overall responsibility for ensuring that information risks are assessed and mitigated to an acceptable level. 5.3 Caldicott Guardian It is the responsibility of the Caldicott Guardian to feedback any IG issues to the Senior Management Team. 5.4 SIRO (Senior Information Risk Owner) The SIRO is the Director of Strategy and Support Services (Michael Smillie). The role: Is accountable; Fosters a culture for protecting and using data; Provides a focal point for managing information risk and incidents Is concerned with the management of all information assets. The SIRO is an executive Board member with allocated lead responsibility for the Trust s information risks and provides a focus for the management of information risk at Board level. The SIRO chairs the Information Governance Board. 5.5 Information Asset Owners (IAO) Service Heads / Senior Managers The SIRO is supported by departmental / section IAOs who are senior managers involved in running the relevant business. Their role is to understand what information is held, what is added, and what is removed, how information is moved, who has access and why. As a result they are able to understand and address risks to information assets they own and to provide assurance to the SIRO on the security and use of the assets. Page 4 of 9

5 5.6 Information Asset Administrators (IAA) IAA s work with an information asset on a day to day basis. They have day to day responsibility, ensure that policies and procedures are followed by staff and recognise actual or potential security incidents, and consult their IAO on incident management. 5.7 Information Governance Lead The Information Governance (IG) Lead is the Head of Information Governance (Yvonne Salkeld). The Head of Information Governance is responsible for ensuring the organisation meets is statutory and corporate responsibilities and engender trust from the public in the management of their personal information. 5.8 Information Security The Head of IT (with delegated responsibility to the Network and Security Manager) are responsible for the provision and management of a high quality, customer focussed, Information Technology Security Advisory Service using expertise to manage security issues, identifying best practice and making recommendations for local implementation. 5.9 All Trust Employees All Trust employees and anyone else working for the organisation (e.g. Agency staff, honorary contracts, management consultants etc.) who use and has access to Trust information must understand their personal responsibilities for information governance and comply with UK Law. All staff must comply with Trust policies, procedures and guidance and attend relevant education and training events in relation to IG. 6 INFORMATION GOVERNANCE STANDARDS AND REQUIREMENTS 6.1 Third Party Suppliers The most stringent Information Governance standards need to be applied to those third party suppliers who have access to information and/or systems containing information. The Trust needs to be assured that information is as secure as possible and access and/or processing is only available to third parties who meet a required standard. As a minimum standard IG check that the third party supplier is: registered, if applicable, on the Data Protection Register via the ICO s (Information Commissioner s Office) Page 5 of 9

6 registered with the IG Toolkit via the Health and Social Care Information Website. submits annually to the IG Toolkit to give assurance of their compliance levels signs an appropriate contract (e.g. a Data Processing Agreement) to increase security arrangements for information further. The Trust is going through a process of ensuring that all contracts and suppliers are identified so the Trust has clear visibility on the overall compliance levels of those engaged with the Trust. The details above detail only the minimum standard and suppliers who can demonstrate high levels of security assurance through other accreditation processes (e.g. accredited ISO via UKAS approved accreditation centre) would need to be investigated further and a risk assessment to ascertain whether the safeguards in place are appropriate to ensure the organisation, and ultimately the SIRO (Senior Information Risk Officer) that the supplier is a secure organisation. As part of the compliance checks, and so we have more information about the supplier, we ask them, once identified, to complete a security checklist (Appendix 1) and make declarations about their organisation. We use this checklist as an audit tool and on a monthly basis spot check a third party engaged with the organisation. We ask them to provide evidence on the declarations they have made so we can ensure that suppliers are open and honest about their levels of compliance and this is working practice not only in theory. Non-compliance overall, or risks identified via the spot check audits will be followed up by the IG team to allow supplier the opportunity to improve and contextualise the issues experienced. If experienced issues cannot be resolved there will be escalation to the SIRO via a highlight report presented to the IG Board. Highlight reports are produced on a bi-monthly basis to inform the IG Board of the progress in identification of suppliers, levels of compliance and also any risk areas that need to be addressed by the SIRO (Senior Information Risk Officer). 6.2 Contractors If an individual or group external to the Trust is involved with any business process and has access to personal identifiable information and / or business critical information we need to ensure that an appropriate agreement is in place to give assurance that safeguards are in place to protect the Trust s information. Contractors that are engaged and delivering services in line as an employee of the Trust have appropriate clauses included in their contracts by the Trust s Human Resource department. For more information on the Trust s requirements for contractors and agency staff please read the following policies: Page 6 of 9

7 POL/004/003/001 Recruitment and Selection POL/004/033 Recruitment of Agency Staff If an individual or organisation is granted access to Trust information and or systems but is not a direct employee; processes and safeguards need to be in place to ensure that the Trust s security is maintained. In these circumstances an honorary contract would be issued to the individual detailing the level of involvement in Trust business and also ensures confidentiality clauses are in place and bind the individual and organisation. This requirement is in line with the Data Protection Act and the necessity to ensure that as a data controller there are stringent and controlled security mechanism in place for ensuring you know what the Trust s data is being used for and can give assurance that appropriate safeguards are in place to protect that data from unlawful processing and/or access. The aim of the organisation is to ensure that the processes are flexible enough to allow information to be used and appropriately accessed but with security mechanisms in place to show reasonable steps have been taken to put safeguards in place. 6.3 Storage and Access In line with the Information Asset Management System being put in place all information relating to suppliers will be stored within Alloy (an IT application currently available to the Trust) which is to be used an Information Asset Register. SharePoint will be used as a document storage facility for all the contractual documents and audit evidence. Access to the documentation can be requested via appropriate Information Asset Owners. Any queries and/or concerns can be escalated to the Information Governance department: 7 TRAINING Training is provided via the Information Asset Management System that is in place and advice provided via contact with Information Governance. Mandatory training is not required for this requirement. Page 7 of 9

8 8 MONITORING COMPLIANCE WITH THIS DOCUMENT The table below outlines the Trusts monitoring arrangements for this policy/document. The Trust reserves the right to commission additional work or change the monitoring arrangements to meet organisational needs. Aspect of compliance or effectiveness being monitored Compliance Reports Spot Checks [insert name of mandatory training] Monitoring method Individual responsible for the monitoring Frequency of the monitoring activity Group / committee which will receive the findings / monitoring report Group / committee / individual responsible for ensuring that the actions are completed Written Report IG Lead Bi-Monthly IG Board IG Board SIRO Spot Checks IG Lead Monthly IG Board IG Board Audits on SIRO Supplier Declarations Training will be monitored in line with the Learning and Development Policy. 9 REFERENCES/ BIBLIOGRAPHY The preferred references method is the Harvard system: AUTHOR(S) (Year) Title. Edition if not the 1st. Place of publication: Publisher. 10 RELATED TRUST POLICY/PROCEDURES POL/004/003/001 Recruitment and Selection POL/004/033 Recruitment of Agency Staff Page 8 of 9

9 Appendix 1 Information Security Checklist: IG guidance to the questions can be found in the comments section please add details for all questions in the comments section relating to your organisation Security Question Yes No Comments 1 It is a legal requirement to register with the Are you registered with ICO, you will be given a data protection number and review date. the ICO (Information Commissioner s Office) under Data Protection Act 1998? Please supply registration number and review date 2 Are you compliant with the Information Governance Toolkit? As a Trust we require that contractors dealing with information and potential access to our systems or data be compliant with the IG Toolkit. Annual submissions of evidence are required. Please supply registration number and IGT compliance percentage. 3 Are all staff screened prior to starting work? 4 Please advise of the screening process and the checks that are carried out. 5 Are all staff trained in confidentiality and data protection? This can include DBS (formally CRB) / references etc. Any in-house or externally sourced training that is provided as mandatory and optional to staff members 6 Please give details of training that is provided NB: Please be advised the Trust reserves the right to request evidence of the above security measures and ensure compliance in these areas. Page 9 of 9

Policy Document Control Page

Policy Document Control Page Policy Document Control Page Title Title: Information Governance Policy Version: 5 Reference Number: CO44 Keywords: Information Governance Supersedes Supersedes: Version 4 Description of Amendment(s):

More information

Information Governance Plan

Information Governance Plan Information Governance Plan 2013 2015 1. Overview 1.1 Information is a vital asset, both in terms of the clinical management of individual patients and the efficient organisation of services and resources.

More information

Information Governance Framework

Information Governance Framework Information Governance Framework Authorship: Chris Wallace, Information Governance Manager Committee Approved: Integrated Audit and Governance Committee Approved date: 11th March 2014 Review Date: March

More information

INFORMATION GOVERNANCE POLICY

INFORMATION GOVERNANCE POLICY INFORMATION GOVERNANCE POLICY Version: 3.2 Authorisation Committee: Date of Authorisation: May 2014 Ratification Committee Level 1 documents): Date of Ratification Level 1 documents): Signature of ratifying

More information

Information Governance Strategic Management Framework 2015-2017

Information Governance Strategic Management Framework 2015-2017 Document Summary Information Governance Strategic Management Framework 2015-2017 This framework sets out the Cumbria Partnership NHS Foundation Trust (the organisation) Strategic Management Framework and

More information

Barnsley Clinical Commissioning Group. Information Governance Policy and Management Framework

Barnsley Clinical Commissioning Group. Information Governance Policy and Management Framework Putting Barnsley People First Barnsley Clinical Commissioning Group Information Governance Policy and Management Framework Version: 1.1 Approved By: Governing Body Date Approved: 16 January 2014 Name of

More information

INFORMATION GOVERNANCE OPERATING POLICY & FRAMEWORK

INFORMATION GOVERNANCE OPERATING POLICY & FRAMEWORK INFORMATION GOVERNANCE OPERATING POLICY & FRAMEWORK Log / Control Sheet Responsible Officer: Chief Finance Officer Clinical Lead: Dr J Parker, Caldicott Guardian Author: Associate IG Specialist, Yorkshire

More information

Information Governance Strategy

Information Governance Strategy Information Governance Strategy ONCE PRINTED OFF, THIS IS AN UNCONTROLLED DOCUMENT. PLEASE CHECK THE INTRANET FOR THE MOST UP TO DATE COPY Target Audience: All staff employed or working on behalf of the

More information

INFORMATION GOVERNANCE POLICY & FRAMEWORK

INFORMATION GOVERNANCE POLICY & FRAMEWORK INFORMATION GOVERNANCE POLICY & FRAMEWORK Version 1.2 Committee Approved by Audit Committee Date Approved 5 March 2015 Author: Responsible Lead: Associate IG Specialist, YHCS Corporate & Governance Manger

More information

Information Governance Framework and Strategy. November 2014

Information Governance Framework and Strategy. November 2014 November 2014 Authorship : Committee Approved : Chris Wallace Information Governance Manager CCG Senior Management Team and Joint Trade Union Partnership Forum Approved Date : November 2014 Review Date

More information

Information Governance Policy

Information Governance Policy Information Governance Policy Version: 4 Bodies consulted: Caldicott Guardian, IM&T Directors Approved by: MT Date Approved: 27/10/2015 Lead Manager: Governance Manager Responsible Director: SIRO Date

More information

Information Governance Strategy. Version No 2.0

Information Governance Strategy. Version No 2.0 Plymouth Community Healthcare CIC Information Governance Strategy Version No 2.0 Notice to staff using a paper copy of this guidance. The policies and procedures page of PCH Intranet holds the most recent

More information

INFORMATION GOVERNANCE STRATEGIC VISION, POLICY AND FRAMEWORK

INFORMATION GOVERNANCE STRATEGIC VISION, POLICY AND FRAMEWORK INFORMATION GOVERNANCE STRATEGIC VISION, POLICY AND FRAMEWORK Policy approved by: Assurance Committee Date: 3 December 2014 Next Review Date: December 2016 Version: 1.0 Information Governance Strategic

More information

Information Governance Strategy

Information Governance Strategy Information Governance Strategy To whom this document applies: All Trust staff, including agency and contractors Procedural Documents Approval Committee Issue Date: January 2010 Version 1 Document reference:

More information

Information Governance Policy

Information Governance Policy Information Governance Policy Version: Revised: Consultation: Ratified by: 1.0 Information Governance Committee Governance Committee Date ratified: 19 March 2008 Name of originator/author: David McGrath

More information

Information Governance Strategy 2015/16

Information Governance Strategy 2015/16 Information Governance Strategy 2015/16 Ratified Governing Body (November 2015) Status Final Issued November 2015 Approved By Executive Committee (August 2015) Consultation Equality Impact Assessment Internal

More information

Information Governance Policy

Information Governance Policy Information Governance Policy REFERENCE NUMBER IG 101 / 0v3 May 2012 VERSION V1.0 APPROVING COMMITTEE & DATE Clinical Executive 4.9.12 REVIEW DUE DATE May 2015 West Lancashire CCG is committed to ensuring

More information

INFORMATION GOVERNANCE POLICY

INFORMATION GOVERNANCE POLICY INFORMATION GOVERNANCE POLICY Name of Policy Author: Name of Review/Development Body: Ratification Body: Ruth Drewett Information Governance Steering Group Committee Trust Board : April 2015 Review date:

More information

Information Governance Strategy :

Information Governance Strategy : Item 11 Strategy Strategy : Date Issued: Date To Be Reviewed: VOY xx Annually 1 Policy Title: Strategy Supersedes: All previous Strategies 18/12/13: Initial draft Description of Amendments 19/12/13: Update

More information

INFORMATION GOVERNANCE POLICY

INFORMATION GOVERNANCE POLICY Directorate of Performance Assurance INFORMATION GOVERNANCE POLICY Reference: DCP074 Version: 2.5 This version issued: 27/03/15 Result of last review: Minor changes Date approved by owner (if applicable):

More information

INFORMATION GOVERNANCE AND DATA PROTECTION POLICY

INFORMATION GOVERNANCE AND DATA PROTECTION POLICY INFORMATION GOVERNANCE AND DATA PROTECTION POLICY WN CCG Information Governance & Data Protection Policy July 2013 1 Document Control Sheet Name of Document: Information Governance & Data Protection Policy

More information

Information Governance Management Framework

Information Governance Management Framework Information Governance Management Framework Responsible Officer Author Business Planning & Resources Director Governance Manager Date effective from October 2015 Date last amended October 2015 Review date

More information

Information Governance Policy

Information Governance Policy Policy Policy Number / Version: v2.0 Ratified by: Audit Committee Date ratified: 25 th February 2015 Review date: 24 th February 2016 Name of originator/author: Name of responsible committee/individual:

More information

NHS Waltham Forest Clinical Commissioning Group Information Governance Policy

NHS Waltham Forest Clinical Commissioning Group Information Governance Policy NHS Waltham Forest Clinical Commissioning Group Information Governance Policy Author: Zeb Alam & David Pearce Version 3.0 Amendments to Version 2.1 Updates made in line with National Guidance and Legislation

More information

NHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY INFORMATION GOVERNANCE TOOLKIT REPORT

NHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY INFORMATION GOVERNANCE TOOLKIT REPORT NHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY INFORMATION GOVERNANCE TOOLKIT REPORT 9.7 Date of the meeting 15/07/2015 Author Sponsoring Clinician Purpose of Report Recommendation J Green - Head

More information

Central Alert System (CAS) Policy and Procedure Document Summary

Central Alert System (CAS) Policy and Procedure Document Summary Central Alert System (CAS) Policy and Procedure Document Summary To manage the distribution and response to internal and externally generated Safety Alerts, DOCUMENT NUMBER POL/002/053 DATE RATIFIED November

More information

All CCG staff. This policy is due for review on the latest date shown above. After this date, policy and process documents may become invalid.

All CCG staff. This policy is due for review on the latest date shown above. After this date, policy and process documents may become invalid. Policy Type Information Governance Corporate Standing Operating Procedure Human Resources X Policy Name CCG IG03 Information Governance & Information Risk Policy Status Committee approved by Final Governance,

More information

INFORMATION GOVERNANCE POLICY

INFORMATION GOVERNANCE POLICY ENFIELD CLINICAL COMMISSIONING GROUP INFORMATION GOVERNANCE POLICY PLEASE DESTROY ALL PREVIOUS VERSIONS OF THIS DOCUMENT Enfield CCG Information Governance Policy Information Governance Policy (Policy

More information

CONTRACTS REVIEW FOR INFORMATION GOVERNANCE COMPLIANCE PROCEDURE

CONTRACTS REVIEW FOR INFORMATION GOVERNANCE COMPLIANCE PROCEDURE This document is uncontrolled once printed. Please check on the CCG s Intranet site for the most up to date version CONTRACTS REVIEW FOR INFORMATION GOVERNANCE COMPLIANCE PROCEDURE Document Title: Contracts

More information

Information Governance Policy (incorporating IM&T Security)

Information Governance Policy (incorporating IM&T Security) (incorporating IM&T Security) ONCE PRINTED OFF, THIS IS AN UNCONTROLLED DOCUMENT. PLEASE CHECK THE INTRANET FOR THE MOST UP TO DATE COPY Target Audience: All staff employed or working on behalf of the

More information

NHS Newcastle Gateshead Clinical Commissioning Group. Information Governance Strategy 2015/16

NHS Newcastle Gateshead Clinical Commissioning Group. Information Governance Strategy 2015/16 NHS Newcastle Gateshead Clinical Commissioning Group Information Governance Strategy 2015/16 Document Status Equality Impact Assessment Document Ratified/Approved By Approved No impact NHS Quality, Safety

More information

INFORMATION GOVERNANCE POLICY

INFORMATION GOVERNANCE POLICY INFORMATION GOVERNANCE POLICY Primary Intranet Location Information Management & Governance Version Number Next Review Year Next Review Month 7.0 2018 January Current Author Phil Cottis Author s Job Title

More information

Information Governance Policy. 2 RESPONSIBLE PERSON: Steve Beeho, Head of Integrated Governance. All CCG-employed staff.

Information Governance Policy. 2 RESPONSIBLE PERSON: Steve Beeho, Head of Integrated Governance. All CCG-employed staff. Information Governance Policy 1 SUMMARY This policy is intended to ensure that staff are fully aware of their Information Governance (IG) responsibilities, so that they can effectively manage and best

More information

INFORMATION GOVERNANCE STRATEGY

INFORMATION GOVERNANCE STRATEGY INFORMATION GOVERNANCE STRATEGY Page 1 of 10 Strategy Owner Valerie Penn, Head of Governance Strategy Author Caroline Law, Information Governance Project Manager Directorate Corporate Governance Ratifying

More information

A Question of Balance

A Question of Balance A Question of Balance Independent Assurance of Information Governance Returns Audit Requirement Sheets Contents Scope 4 How to use the audit requirement sheets 4 Evidence 5 Sources of assurance 5 What

More information

Information Governance Strategy. Version No 2.1

Information Governance Strategy. Version No 2.1 Livewell Southwest Information Governance Strategy Version No 2.1 Notice to staff using a paper copy of this guidance. The policies and procedures page of LSW Intranet holds the most recent version of

More information

Information Governance Policy

Information Governance Policy Information Governance Policy Version 1.1 Responsible Person Information Governance Manager Lead Director Head of Corporate Services Consultation Route Information Governance Steering Group Approval Route

More information

Trust Informatics Policy. Information Governance. Information Governance Policy

Trust Informatics Policy. Information Governance. Information Governance Policy Trust Informatics Policy Information Governance Policy Reference: TIP/IG/IGP I:\IG\IGM\IGT\March 2011\Document Library\Policies\Approved/ - 1 Document Control Policy Title Author/Contact Document Reference

More information

Information Governance Policy Version - Final Date for Review: 1 October 2017 Lead Director: Performance, Quality and Cooperate Affairs

Information Governance Policy Version - Final Date for Review: 1 October 2017 Lead Director: Performance, Quality and Cooperate Affairs Information Governance Policy Version - Final Date for Review: 1 October 2017 Lead Director: Performance, Quality and Cooperate Affairs NOTE: This is a CONTROLLED Document. Any documents appearing in paper

More information

NHS Waltham Forest Clinical Commissioning Group Information Governance Strategy

NHS Waltham Forest Clinical Commissioning Group Information Governance Strategy NHS Waltham Forest Clinical Commissioning Group Governance Strategy Author: Zeb Alam, CCG IG Lead, (NELCSU) David Pearce, Head of Governance, WFCCG Version 3.0 Amendments to Version 2.1 Annual Review Reference

More information

INFORMATION GOVERNANCE STRATEGY NO.CG02

INFORMATION GOVERNANCE STRATEGY NO.CG02 INFORMATION GOVERNANCE STRATEGY NO.CG02 Applies to: All NHS LA employees, Non-Executive Directors, secondees and consultants, and/or any other parties who will carry out duties on behalf of the NHS LA.

More information

Version Number Date Issued Review Date V1 25/01/2013 25/01/2013 25/01/2014. NHS North of Tyne Information Governance Manager Consultation

Version Number Date Issued Review Date V1 25/01/2013 25/01/2013 25/01/2014. NHS North of Tyne Information Governance Manager Consultation Northumberland, Newcastle North and East, Newcastle West, Gateshead, South Tyneside, Sunderland, North Durham, Durham Dales, Easington and Sedgefield, Darlington, Hartlepool and Stockton on Tees and South

More information

INFORMATION GOVERNANCE POLICY

INFORMATION GOVERNANCE POLICY INFORMATION GOVERNANCE POLICY Information Governance Policy_v2.0_060913_LP Page 1 of 14 Information Reader Box Directorate Purpose Document Purpose Document Name Author Corporate Governance Guidance Policy

More information

NHS North Durham Clinical Commissioning Group. Information Governance Strategy 2015/16

NHS North Durham Clinical Commissioning Group. Information Governance Strategy 2015/16 NHS North Durham Clinical Commissioning Group Information Governance Strategy 2015/16 Document Status Equality Impact Assessment Document Ratified/Approved By Final No impact Risk and Audit Committee/Governing

More information

INFORMATION GOVERNANCE POLICY

INFORMATION GOVERNANCE POLICY INFORMATION GOVERNANCE POLICY POLICY NO IM&T 011 DATE RATIFIED January 2012 NEXT REVIEW DATE January 2015 POLICY STATEMENT/KEY OBJECTIVE: To provide an overarching framework through which Information Governance

More information

NHS Commissioning Board: Information governance policy

NHS Commissioning Board: Information governance policy NHS Commissioning Board: Information governance policy DOCUMENT STATUS: To be approved / Approved DOCUMENT RATIFIED BY: DATE ISSUED: October 2012 DATE TO BE REVIEWED: April 2013 2 AMENDMENT HISTORY: VERSION

More information

Information Governance and Data Protection Policy

Information Governance and Data Protection Policy Information Governance and Data Protection Policy Page 1 of 21 Document Control Sheet Name of document: Version: Owner: File location / Filename: Information Governance and Data Protection Policy Final

More information

Information Governance Policy

Information Governance Policy Information Governance Policy Information Governance Policy Issue Date: June 2014 Document Number: POL_1008 Prepared by: Information Governance Senior Manager Insert heading depending on Insert line heading

More information

NHS Hartlepool and Stockton-on-Tees Clinical Commissioning Group. Information Governance Strategy 2015/16

NHS Hartlepool and Stockton-on-Tees Clinical Commissioning Group. Information Governance Strategy 2015/16 NHS Hartlepool and Stockton-on-Tees Clinical Commissioning Group Information Governance Strategy 2015/16 Document Status Equality Impact Assessment Final No impact Document Ratified/Approved By Hartlepool

More information

INFORMATION GOVERNANCE

INFORMATION GOVERNANCE This document is uncontrolled once printed. Please refer to the Trusts Intranet site (Procedural Documents) for the most up to date version INFORMATION GOVERNANCE NGH-PO-233 Ratified By: Procedural Document

More information

BEFORE USING THIS GUIDANCE, MAKE SURE YOU HAVE THE MOST UP TO DATE VERSION GUIDANCE 2 POLICY AREA: INFORMATION GOVERNANCE

BEFORE USING THIS GUIDANCE, MAKE SURE YOU HAVE THE MOST UP TO DATE VERSION GUIDANCE 2 POLICY AREA: INFORMATION GOVERNANCE GUIDANCE 1 TITLE: INFORMATION GOVERNANCE FRAMEWORK 2 POLICY AREA: INFORMATION GOVERNANCE 3 ACCOUNTABLE DIRECTOR FOR POLICY AREA: DIRECTOR OF QUALITY AND GOVERNANCE 4 GUIDANCE DRAFTED BY: INTEGRATED GOVERNANCE

More information

INFORMATION GOVERNANCE POLICY

INFORMATION GOVERNANCE POLICY INFORMATION GOVERNANCE POLICY Version Version 1 Ratified By Date Ratified PROPOSED FOR APPROVAL 15/11/12 Author(s) Responsible Committee / Officers Date Issue November 2012 Review Date November 2013 Intended

More information

1.5 The Information Governance Policy should be read in conjunction with the Information Governance Strategy.

1.5 The Information Governance Policy should be read in conjunction with the Information Governance Strategy. Title: Reference No: NHSNYYIG - 007 Owner: Author: INFORMATION GOVERNANCE POLICY Director of Standards First Issued On: September 2010 Latest Issue Date: February 2012 Operational Date: February 2012 Review

More information

INFORMATION GOVERNANCE HANDBOOK

INFORMATION GOVERNANCE HANDBOOK INFORMATION GOVERNANCE HANDBOOK SECTION ONE Author Tracey Burrows Role Information Governance Manager (CSCSU) Date / Version February 2015 Version FINAL V1.0 Approved by IM&T Board Date 27 February 2015

More information

Information Governance Strategy

Information Governance Strategy Information Governance Strategy Document Status Draft Version: V2.1 DOCUMENT CHANGE HISTORY Initiated by Date Author Information Governance Requirements September 2007 Information Governance Group Version

More information

Date: 30 th May 2013. Agenda Item: 5.5. Ian Mackenzie Director of Information and Estates REPORT AUTHOR:

Date: 30 th May 2013. Agenda Item: 5.5. Ian Mackenzie Director of Information and Estates REPORT AUTHOR: TRUST BOARD IN PUBLIC Date: 30 th May 2013 Agenda Item: 5.5 REPORT TITLE: Information Governance Annual Report EXECUTIVE SPONSOR: Ian Mackenzie Director of Information and Estates REPORT AUTHOR: Sarah

More information

Further to reports to EAG in February and March 2014, the purpose of this report is to;

Further to reports to EAG in February and March 2014, the purpose of this report is to; Report to: Trust Board of Directors Date of Meeting: 29 May 2014 Report Title: Annual Information Governance Report 13/14 Status: Mark relevant box with X Prepared by: Executive Sponsor (presenting): Appendices

More information

Information Security and Governance Policy

Information Security and Governance Policy Information Security and Governance Policy Version: 1.0 Ratified by: Information Governance Group Date ratified: 19 th October 2012 Name of organisation / author: Derek Wilkinson Name of responsible Information

More information

INFORMATION RISK MANAGEMENT POLICY

INFORMATION RISK MANAGEMENT POLICY INFORMATION RISK MANAGEMENT POLICY DOCUMENT CONTROL: Version: 1 Ratified by: Steering Group / Risk Management Sub Group Date ratified: 21 November 2012 Name of originator/author: Manager Name of responsible

More information

Policy: D9 Data Quality Policy

Policy: D9 Data Quality Policy Policy: D9 Data Quality Policy Version: D9/02 Ratified by: Trust Management Team Date ratified: 16 th October 2013 Title of Author: Head of Knowledge Management Title of responsible Director Director of

More information

Information Governance Strategy and Policy. OFFICIAL Ownership: Information Governance Group Date Issued: 15/01/2015 Version: 2.

Information Governance Strategy and Policy. OFFICIAL Ownership: Information Governance Group Date Issued: 15/01/2015 Version: 2. Information Governance Strategy and Policy Ownership: Information Governance Group Date Issued: 15/01/2015 Version: 2.0 Status: Final Revision and Signoff Sheet Change Record Date Author Version Comments

More information

Policies for: Information Governance Information Quality Information Management Information Security. Version Control Version: 0.1

Policies for: Information Governance Information Quality Information Management Information Security. Version Control Version: 0.1 Policies for: Information Governance Information Quality Information Management Information Security Approved by: None this version Date approved: Name of originator/author: Ade Oduntan, Mike Hellier,

More information

Information Governance Policy

Information Governance Policy BEXLEY CARE TRUST MANAGEMENT MANUAL Title: INFORMATION GOVERNANCE POLICY Originating Department: IT DEPARTMENT Authorised by: Risk Management Committee June 2008 Reference no: CA12 Date of Issue: JANUARY

More information

Information Governance Policy

Information Governance Policy Information Governance Policy Reference: Information Governance Policy Date Approved: April 2013 Approving Body: Board of Trustees Implementation Date: April 2013 Version: 6 Supersedes: 5 Stakeholder groups

More information

RISK MANAGEMENT STRATEGY 2014-17

RISK MANAGEMENT STRATEGY 2014-17 RISK MANAGEMENT STRATEGY 2014-17 DOCUMENT NO: Lead author/initiator(s): Contact email address: Developed by: Approved by: DN128 Head of Quality Performance Julia.sirett@ccs.nhs.uk Quality Performance Team

More information

N3 Protecting the Network through Information Governance and Assurance

N3 Protecting the Network through Information Governance and Assurance N3 Protecting the Network through Information Governance and Assurance NHS CFH Operational Security Team cfh.ost@nhs.net Introductions The NHS CFH Operational Security Team: Tony Hodgson Operational Security

More information

Information Governance Policy

Information Governance Policy Information Governance Policy Document Number 01 Version Number 2.0 Approved by / Date approved Effective Authority Customer Services & ICT Authorised by Assistant Director Customer Services & ICT Contact

More information

SOMERSET PARTNERSHIP NHS FOUNDATION TRUST RECORDS MANAGEMENT STRATEGY. Report to the Trust Board 22 September 2015. Information Governance Manager

SOMERSET PARTNERSHIP NHS FOUNDATION TRUST RECORDS MANAGEMENT STRATEGY. Report to the Trust Board 22 September 2015. Information Governance Manager SOMERSET PARTNERSHIP NHS FOUNDATION TRUST RECORDS MANAGEMENT STRATEGY Report to the Trust Board 22 September 2015 Sponsoring Director: Author: Purpose of the report: Key Issues and Recommendations: Director

More information

RECORDS MANAGEMENT POLICY

RECORDS MANAGEMENT POLICY RECORDS MANAGEMENT POLICY Version 8.0 Purpose: For use by: This document is compliant with /supports compliance with: To outline the lifecycle of a record and to provide guidance on retention and disposal

More information

Information Governance Performance Manager. Important Note: The Intranet version of this document is the only version that is maintained.

Information Governance Performance Manager. Important Note: The Intranet version of this document is the only version that is maintained. Document Summary DOCUMENT NUMBER DATE RATIFIED POL/002/004 14 October DATE IMPLEMENTED October 2013 NEXT REVIEW DATE October 2015 ACCOUNTABLE DIRECTOR POLICY AUTHOR Director of Business Development Information

More information

JOB DESCRIPTION. Information Governance Manager

JOB DESCRIPTION. Information Governance Manager JOB DESCRIPTION POST TITLE: Information Governance Manager DIRECTORATE: ACCOUNTABLE TO: BAND: LOCATION: CSS Head of Information Governance 8a CSS Job Purpose The Information Governance Manager will ensure

More information

Information Governance Toolkit Assessment 2009/10

Information Governance Toolkit Assessment 2009/10 Information Governance Toolkit Assessment 2009/10 Document Reference: Version: Ratified by: Date ratified: Name of originator/author: Name of responsible committee/individual: Document owner: Document

More information

INFORMATION GOVERNANCE POLICY

INFORMATION GOVERNANCE POLICY INFORMATION GOVERNANCE POLICY Issued by: Senior Information Risk Owner Policy Classification: Policy No: POLIG001 Information Governance Issue No: 1 Date Issued: 18/11/2013 Page No: 1 of 16 Review Date:

More information

Lauren Hamill, Information Governance Officer

Lauren Hamill, Information Governance Officer Document No: IG10a Version: 1.0 Name of Document: General Information Governance Checklist Author: Release Date: Review Date: Lauren Hamill, Information Governance Officer Version Control Version Release

More information

Information Security Management System (ISMS) Policy

Information Security Management System (ISMS) Policy Information Security Management System (ISMS) Policy April 2015 Version 1.0 Version History Version Date Detail Author 0.1 18/02/2015 First draft Andy Turton 0.2 20/02/2015 Updated following feedback from

More information

INFORMATION GOVERNANCE POLICY

INFORMATION GOVERNANCE POLICY INFORMATION GOVERNANCE POLICY Page 1 of 46 Policy Title: Executive Summary: Information Governance Policy This policy seeks to identify the actions required to ensure that information is appropriately

More information

Policy Document Control Page

Policy Document Control Page Policy Document Control Page Title Title: Data Protection Policy Version: 3 Reference Number: CO59 Keywords: Data, access, principles, protection, Act. Data Subject, Information Supersedes Supersedes:

More information

Lancashire County Council Information Governance Framework

Lancashire County Council Information Governance Framework Appendix 'A' Lancashire County Council Information Governance Framework Introduction Information Governance provides a framework for bringing together all of the requirements, standards and best practice

More information

Information Governance Strategy

Information Governance Strategy Policy No: IG01 Version: 3.0 Name of Policy: Information Governance Strategy Effective From: 02/06/2015 Date Ratified 06/05/2015 Ratified Health Informatics Assurance Group (HIAG) Review Date 01/05/2017

More information

Information Governance Policy

Information Governance Policy Information Governance Policy Policy ID IG02 Version: V1 Date ratified by Governing Body 27/09/13 Author South Commissioning Support Unit Date issued: 21/10/13 Last review date: N/A Next review date: September

More information

Information Incident Management and Reporting Procedures

Information Incident Management and Reporting Procedures ` Information Incident Management and Reporting Procedures Compliance with all CCG policies, procedures, protocols, guidelines, guidance and standards is a condition of employment. Breach of policy may

More information

Procedures. Issue Date: June 2014 Version Number: 2.0. Document Number: POL_1009. Status: Approved Next Review Date: April 2017 Page 1 of 17

Procedures. Issue Date: June 2014 Version Number: 2.0. Document Number: POL_1009. Status: Approved Next Review Date: April 2017 Page 1 of 17 Proforma: Information Policy Security & Corporate Policy Procedures Status: Approved Next Review Date: April 2017 Page 1 of 17 Issue Date: June 2014 Prepared by: Information Governance Senior Manager Status:

More information

Policy Checklist. Head of Information Governance

Policy Checklist. Head of Information Governance Policy Checklist Name of Policy: Information Governance Policy Purpose of Policy: To provide guidance to all staff on their responsibilities regarding information governance and to ensure that the Trust

More information

TERMS OF REFERENCE: REVIEW OF THE INFORMATION GOVERNANCE TOOLKIT

TERMS OF REFERENCE: REVIEW OF THE INFORMATION GOVERNANCE TOOLKIT TERMS OF REFERENCE: REVIEW OF THE INFORMATION GOVERNANCE TOOLKIT The Information Governance Professional Leadership Group hosted by the NHS Commissioning Board is committed to conducting a strategic review

More information

MOORLAND SURGICAL SUPPLIES LTD INFORMATION GOVERNANCE POLICY

MOORLAND SURGICAL SUPPLIES LTD INFORMATION GOVERNANCE POLICY MOORLAND SURGICAL SUPPLIES LTD INFORMATION GOVERNANCE POLICY Moorland is committed to ensuring that, as far as it is reasonably practicable, the way we provide services to the public and the way we treat

More information

Information Governance Policy

Information Governance Policy Author: Susan Hall, Information Governance Manager Owner: Fiona Jamieson, Assistant Director of Healthcare Governance Publisher: Compliance Unit Date of first issue: February 2005 Version: 5 Date of version

More information

Informatics Policy. Information Governance. Network Storage Policy

Informatics Policy. Information Governance. Network Storage Policy Informatics Policy Information Governance Policy Ref: 3593 Policy Title Author/Contact Document Reference 3593 Pauline Nordoff-Tate, Information Assurance Manager Document Impact Assessed Yes/No Date:

More information

INFORMATION GOVERNANCE POLICY

INFORMATION GOVERNANCE POLICY INFORMATION GOVERNANCE POLICY 1 Document history, consultation and approval Title SCRA Information Governance Policy Version Version 1 Other relevant approved document SCRA Case Information Policy SCRA

More information

South East Coast Ambulance Service NHS Trust. Information Governance Working Group. Terms of Reference

South East Coast Ambulance Service NHS Trust. Information Governance Working Group. Terms of Reference South East Coast Ambulance Service NHS Trust Information Governance Working Group Terms of Reference 1. Constitution 1.1. The Board hereby resolves to establish a Working Group of the Risk Management &

More information

INFORMATION GOVERNANCE AND SECURITY 1 POLICY DRAFTED BY: INFORMATION GOVERNANCE LEAD 2 ACCOUNTABLE DIRECTOR: SENIOR INFORMATION RISK OWNER

INFORMATION GOVERNANCE AND SECURITY 1 POLICY DRAFTED BY: INFORMATION GOVERNANCE LEAD 2 ACCOUNTABLE DIRECTOR: SENIOR INFORMATION RISK OWNER INFORMATION GOVERNANCE AND SECURITY 1 POLICY DRAFTED BY: INFORMATION GOVERNANCE LEAD 2 ACCOUNTABLE DIRECTOR: SENIOR INFORMATION RISK OWNER 3 APPLIES TO: ALL STAFF 4 COMMITTEE & DATE APPROVED: AUDIT COMMITTEE

More information

Information Management Policy CCG Policy Reference: IG 2 v4.1

Information Management Policy CCG Policy Reference: IG 2 v4.1 Information Management Policy CCG Policy Reference: IG 2 v4.1 Document Title: Policy Information Management Document Status: Final Page 1 of 15 Issue date: Nov-2015 Review date: Nov-2016 Document control

More information

Introduction to the NHS Information Governance Requirements

Introduction to the NHS Information Governance Requirements Introduction to the NHS Information Governance Requirements 2 Version April 2014 Information Governance ensures necessary safeguards for, and appropriate use of, patient and personal information. The widely

More information

Information Governance Strategy

Information Governance Strategy Information Governance Strategy THCCGCG9 Version: 01 The information governance strategy outlines the CCG governance aims and the key objectives of its governance policies. The Chief officer has the overarching

More information

Information Governance Policy

Information Governance Policy Information Governance Policy Policy Summary This policy outlines the organisation s approach to the management of Information Governance and information handling. It explains the accountability and reporting

More information

Gloucestershire Hospitals

Gloucestershire Hospitals Gloucestershire Hospitals NHS Foundation Trust TRUST POLICY In the case of hard copies of this policy the content can only be assured to be accurate on the date of issue marked on the document. The Policy

More information

INFORMATION MANAGEMENT POLICY (RECORDS QUALITY) POLICY

INFORMATION MANAGEMENT POLICY (RECORDS QUALITY) POLICY BARNET CLINICAL COMMISSIONING GROUP INFORMATION MANAGEMENT POLICY (RECORDS QUALITY) POLICY PLEASE DESTROY ALL PREVIOUS VERSIONS OF THIS DOCUMENT Page 1 Responsible Person: Accountable Director: Ratifying

More information

SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST EXECUTIVE SUMMARY REPORT TO THE BOARD OF DIRECTORS MEETING HELD ON 16 MAY 2012

SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST EXECUTIVE SUMMARY REPORT TO THE BOARD OF DIRECTORS MEETING HELD ON 16 MAY 2012 B SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST EXECUTIVE SUMMARY REPORT TO THE BOARD OF DIRECTORS MEETING HELD ON 16 MAY 2012 Subject Supporting TEG Member Lead Author Status 1 Healthcare Governance

More information

Information Governance Strategy Includes Information risk & incident management methodology

Information Governance Strategy Includes Information risk & incident management methodology Version 2.0 LOGOLOGO Information Governance Strategy Includes Information risk & incident management methodology Approved by: Quality & Governance Committee Ratification date: May 2014 Review date: May

More information

Policy Information Management

Policy Information Management Policy Information Management Document Title: Policy Information Management Issue date: October 2013 Document Status: Approved IGC 23 Oct 2013 Review date: October 2014 Page 1 of 17 Document control Document

More information

INFORMATION GOVERNANCE POLICY

INFORMATION GOVERNANCE POLICY INFORMATION GOVERNANCE POLICY Including the Information Governance Strategy Framework and associated Information Governance Procedures Last Review Date Approving Body N/A Governing Body Date of Approval

More information